JACOB HERSHEL DAVIS DO
NPI 1972288587
Family Medicine in Las Vegas, NV
About Jacob Hershel Davis Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB HERSHEL DAVIS DO (NPI 1972288587) is an individual family medicine provider in Las Vegas, Nevada, licensed in Nevada (SL2036) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacob Hershel Davis Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 89119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAS VEGAS, NV 89119
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacob Davis's NPI number?
The NPI number for Jacob Davis is 1972288587. It was assigned to this individual provider in the NPPES registry on June 20, 2023.
Where is Jacob Davis located?
Jacob Davis practices at 4475 S Eastern Ave, Las Vegas, NV 89119. The listed phone number is (702) 877-5199.
What is Jacob Davis's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jacob Davis enrolled in Medicare?
Yes. Jacob Davis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Jacob Davis was last updated on July 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jacob Hershel Davis, DO · NPI 1972288587
Family Medicine physician in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since June 20, 2023.
## Identity
- **NPI:** 1972288587 (Entity type: Individual)
- **Enumerated:** June 20, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** SL2036 (Nevada)
- **Sole proprietor:** No
## Practice location
- **Address:** 4475 S EASTERN AVE, Las Vegas, NV 89119-7826
- **Phone:** (702) 877-5199
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1972288587) · Data from the CMS NPPES public registry.